PULS 2026 PULS '26
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PULS 2026 › Programme

Two days. 17 sessions.

Defining Precision for Growing Hands — 53 topics

Congenital Hand

Congenital hand reconstruction and the decisions that shape it
The Hand That Was Born Different
  • •Embryology of Hand: Concepts and Clinical Relevance
  • •Syndromic Syndactyly Approach and Surgical Strategy
  • •Thumb Hypoplasia: Reconstruction Options
  • •Not Just Classification Decision-Making That Changes Outcomes
Congenital Hand: Controversy Court
  • •Radialization or Centralization in RCH
  • •Strategy for Crooked Fingers (Kirner, Clino and Campto)
  • •Which Congenital Hand Issue - I Won't Treat Surgically?
How Do I Do It?
  • •Pollicisation
  • •Syndactyly Release
  • •Novel Method of Percutaneous Osteotomy for RCH

The Trauma Track

Decision-making debates and the cases that keep you awake
The Great Pediatric Trauma DebateThere is more than one right answer.
  • •Observe vs Operate - SC # Humerus
  • •CRIF vs ORIF - RU Shaft #s
  • •SC Humerus # with Pulseless Hand
What Would You Do Now?
  • •The Monteggia, We Could Not Reduce!
  • •The Stiff Paediatric Elbow
  • •Failed Pollicisation
Cases That Keep You Awake!
  • •The Simple Lateral Condyle That Wasn't Simple
  • •The TRASH Lesions
  • •The Nerve Deficit
  • •Open Injuries in Forearm

Surgical Craft

Signature cases, surgical videos and fingertip injuries
Surgical Videos
  • •4th Dimension of Forearm Deformity Correction in Children: 3D Technologies from Bench to Bed
  • •Radial Neck # CRIF
My Worst Case PULS Signature SessionWhat I did, what went wrong, what I learned.
  • •The Forearm Malunion
  • •Precision in Small Bones: Navigating Pediatric Hand Fractures
  • •Physeal Injury
Fingertip Injuries
  • •Flaps I Must Know
  • •Techniques of Nailbed Fixation

Microsurgery & Nerve Reconstruction

Brachial plexus birth palsy and microsurgery in tiny hands
Brachial Plexus Birth Palsy
  • •Outcomes of Distal Nerve Transfers in Avulsion Injuries in BPBP
  • •Primary Nerve Reconstruction in Global BPBP
  • •Secondary Procedures for Shoulder Function
  • •Secondary Procedures for Elbow/Forearm Function + Surgical Video
  • •Biceps to FDP Tendon Transfer
  • •MISR & Pectoralis Transfer for Shoulder Abduction
Microsurgery In Tiny HandsPrecision and outcomes.
  • •Toe Transfers in Children
  • •FFMT - Indications and Outcomes
  • •Local/Regional Flaps for Crush Forearm/Hand
  • •Reimplantation
Closing Grand Finale

The PULS Image Olympics

Pediatric Upper Limb Championship Award

Fellows & Junior Consultants go head-to-head with Senior Consultants — live, on the clock.

X-Rays • Clinical Photos • CT/MRI • Operative Photos
20
Cases
60s
Per Case
2
Teams

Function, Not Deformity

Cerebral palsy and the diagnostic traps of tumour, trauma and infection
Cerebral Palsy: Think Function, Not Deformity
  • •Restoring Function: Surgical and Non-Surgical Approaches to Spasticity in Cerebral Palsy
  • •Neuromodulation for Spasticity: Strategic Use of Botulinum Toxin
  • •Precision Nerve Targeting: The Science of Hyperselective Neurectomy
  • •Comprehensive Management of UL Involvement in Arthrogryposis
  • •Tendon Transfers for CP
Tumour, Trauma, Infection - Or Something Else?The pediatric upper limb diagnostic trap.
  • •Bone Cyst: Injection or Curettage
  • •Exostosis of Ulna
  • •Chronic Osteomyelitis Forearm
  • •Managing Post-Traumatic Growth Arrest in DER

Looking Ahead

Unusual problems, common solutions, and where the field is heading
Unusual Problems, Common Solutions
  • •Nuances in Correction of Post-Burns Hand Contractures and Deformities in Paediatric Age Group
  • •VIC: Reconstruction of Complex Post-Traumatic Sequelae, Including Distraction
  • •Madelung's Deformity
The Future Of Pediatric Upper Limb Surgery
  • •3D Printing
  • •Microsurgery
  • •WALANT in Children
  • •Splinting and Special Cast Materials